{!! Form::numeric('service_id')
-> label(trans('service::provider.label.service_id'))
-> placeholder(trans('service::provider.placeholder.service_id'))!!}
{!! Form::text('bio')
-> label(trans('service::provider.label.bio'))
-> placeholder(trans('service::provider.placeholder.bio'))!!}
{!! Form::text('service_contract')
-> label(trans('service::provider.label.service_contract'))
-> placeholder(trans('service::provider.placeholder.service_contract'))!!}
{!! Form::numeric('medicare')
-> label(trans('service::provider.label.medicare'))
-> placeholder(trans('service::provider.placeholder.medicare'))!!}
{!! Form::numeric('rate')
-> label(trans('service::provider.label.rate'))
-> placeholder(trans('service::provider.placeholder.rate'))!!}
{!! Form::numeric('rate_type')
-> label(trans('service::provider.label.rate_type'))
-> placeholder(trans('service::provider.placeholder.rate_type'))!!}
{!! Form::inline_radios('availability')
-> radios(trans('service::provider.options.availability'))
-> label(trans('service::provider.label.availability'))!!}
{!! Form::text('profile')
-> label(trans('service::provider.label.profile'))
-> placeholder(trans('service::provider.placeholder.profile'))!!}
{!! Form::text('idemnity')
-> label(trans('service::provider.label.idemnity'))
-> placeholder(trans('service::provider.placeholder.idemnity'))!!}
{!! Form::text('liability')
-> label(trans('service::provider.label.liability'))
-> placeholder(trans('service::provider.placeholder.liability'))!!}
{!! Form::numeric('policy')
-> label(trans('service::provider.label.policy'))
-> placeholder(trans('service::provider.placeholder.policy'))!!}